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Spontaneous spinal epidural hematoma in a toddler presenting with torticollis: case report and literature review.
- Source :
-
Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery [Childs Nerv Syst] 2023 Jul; Vol. 39 (7), pp. 1935-1939. Date of Electronic Publication: 2023 Feb 04. - Publication Year :
- 2023
-
Abstract
- Introduction: Spontaneous spinal epidural hematoma (SSEH) is a rare entity, especially in toddlers and infants. The nonspecificity of its presenting symptoms in children may be a source of delayed diagnosis.<br />Case Description: We report the case of a 20-month-old young boy without medical history who presented with irreducible torticollis, worsened a few days later by severe tetraplegia and respiratory distress. Spinal magnetic resonance imaging (MRI) showed a posterior epidural hematoma, extending from C3 to T1 and compressing the spinal cord. An urgent decompressive surgery via an extensive laminectomy and evacuation of the clot was performed. The patient demonstrated a partial neurological recovery on follow-up.<br />Conclusion: SSEH is a rare and serious condition that may compromise the functional and vital prognosis of the patient, hence the importance of prompt diagnosis and urgent treatment.<br /> (© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
- Subjects :
- Male
Infant
Humans
Child, Preschool
Laminectomy methods
Magnetic Resonance Imaging adverse effects
Spinal Cord surgery
Hematoma, Epidural, Spinal complications
Hematoma, Epidural, Spinal diagnostic imaging
Hematoma, Epidural, Spinal surgery
Torticollis diagnostic imaging
Torticollis etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1433-0350
- Volume :
- 39
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 36738321
- Full Text :
- https://doi.org/10.1007/s00381-023-05870-y